M1204 Ixv nrs vrs iqa >=4
Also known as: baseline symptom severity documented, high initial symptom burden
Initial symptom assessment score or baseline intensity/quality/affect score of 4 or greater on numeric rating scale.
In Plain Language
Moderate to severe baseline symptoms; High initial symptom score
Clinical Context
Palliative care quality measure documenting baseline symptom severity for treatment monitoring and efficacy tracking.
RVU Information
CPT M1204 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
M-codes cover quality measures and performance reporting. They are used in value-based care programs to track whether specific clinical actions were taken. Documentation must support that the measured action was performed or a valid exclusion applies.
Specialties
Frequently Asked Questions
What is CPT code M1204?
CPT M1204 (Ixv nrs vrs iqa >=4) is a M Codes code. Initial symptom assessment score or baseline intensity/quality/affect score of 4 or greater on numeric rating scale.
Is M1204 covered by insurance?
M1204 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Palliative care quality measure documenting baseline symptom severity for treatment monitoring and efficacy tracking.
When is CPT M1204 used?
Palliative care quality measure documenting baseline symptom severity for treatment monitoring and efficacy tracking.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.